| NPI | 1619480167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10626) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118478) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-09-22 |